Epic Professional Billing Claims Analyst

Healthlink Advisors; Melbourne (FL); On-site; USD 55,000 - 75,000; Full time

Job summary

A healthcare consulting firm in Florida is seeking an experienced professional to support billing claims workflows. The role includes resolving ticket backlogs, ensuring compliance, and collaborating with various teams to improve processes. Candidates should have a strong understanding of revenue cycle operations and possess problem-solving skills with at least 2 years of relevant experience.

Qualifications

• Strong working knowledge of professional billing claims workflows and revenue cycle operations.
• 2+ years of experience in a healthcare billing, claims, or revenue cycle analyst role.
• Demonstrated ability to resolve high-volume ticket backlogs with accuracy and efficiency.

Responsibilities

• Review, analyze, and resolve outstanding tickets related to professional billing and claims workflows.
• Support end-to-end professional billing claims processes, including charge capture and submission.
• Collaborate with billing teams and escalate high-priority issues to leadership.

Skills

Active Certification in Professional Billing Claims

Analytical skills

Troubleshooting skills

Problem-solving abilities

Job description

Key Responsibilities

• Ticket Backlog Resolution

  • Review, analyze, and resolve outstanding tickets related to professional billing and claims workflows.

  • Prioritize issues based on claim impact, financial risk, and compliance requirements.

  • Provide clear, detailed documentation of resolution steps and communicate effectively with requesters.

• Claims Workflow Support

  • Support end-to-end professional billing claims processes, including charge capture, claim edits, scrubbing, submission, denials, and remittance.

  • Identify patterns in recurring issues and recommend long-term process or system fixes.

  • Partner with IT to validate system build/configuration changes and test claim workflows.

• Collaboration & Escalation

  • Collaborate with billing teams, patient financial services, compliance, and IT teams to troubleshoot and resolve issues.

  • Act as a subject matter expert (SME) for professional billing claims workflows.

  • Escalate systemic, high-priority, or compliance-related issues to leadership and external vendors as appropriate.

  • Required

  • PB claims Active Cert

  • Strong working knowledge of professional billing claims workflows and revenue cycle operations.

  • 2+ years of experience in a healthcare billing, claims, or revenue cycle analyst role.

  • Proven experience in post-live support or system stabilization, with a focus on claims processing.

  • Demonstrated ability to resolve high-volume ticket backlogs with accuracy and efficiency.

  • Strong analytical, troubleshooting, and problem-solving skills.